Therapists in Davis Island, Tampa, FL

Photo of Krysten Blouin, Pastoral Counselor, MAC, MATS, ABC-II, CTCP-II
Krysten Blouin
Pastoral Counselor, MAC, MATS, ABC-II, CTCP-II
2 Endorsed
Davis Island, Tampa, FL 33606
Are you struggling today? I’ve been there. I know what it is to suffer. But I also know the power of the gospel of Jesus Christ. Whether you’re walking through anxiety, depression, grief, trauma, sin struggles, or just feel overwhelmed and need a safe place to process, biblical counseling is for you. You don’t have to carry these burdens alone. I know how scary it can be to reach out for help, or even just to take that first step before the plunge. But take heart, my friend, for the deep waters you are about to dive into are filled with the unfathomable love and grace of the God who sees you, knows you, and will never let you go.
Are you struggling today? I’ve been there. I know what it is to suffer. But I also know the power of the gospel of Jesus Christ. Whether you’re walking through anxiety, depression, grief, trauma, sin struggles, or just feel overwhelmed and need a safe place to process, biblical counseling is for you. You don’t have to carry these burdens alone. I know how scary it can be to reach out for help, or even just to take that first step before the plunge. But take heart, my friend, for the deep waters you are about to dive into are filled with the unfathomable love and grace of the God who sees you, knows you, and will never let you go.
(813) 705-7336 View (813) 705-7336
Photo of Erin Forehand, Psychologist, PhD
Erin Forehand
Psychologist, PhD
Davis Island, Tampa, FL 33606
Making the decision to reach out to a psychologist is a courageous one and I understand the vulnerability required to make that phone call. As a psychologist, I try to create a collaborative environment where I help to empower my clients to develop a deeper understanding and awareness of themselves. I take on a more active role and do more than ask how something makes you feel. I can provide objectivity, support, feedback in a nonjudgmental manner, and skills to be able to tackle a variety of concerns in life.
Making the decision to reach out to a psychologist is a courageous one and I understand the vulnerability required to make that phone call. As a psychologist, I try to create a collaborative environment where I help to empower my clients to develop a deeper understanding and awareness of themselves. I take on a more active role and do more than ask how something makes you feel. I can provide objectivity, support, feedback in a nonjudgmental manner, and skills to be able to tackle a variety of concerns in life.
(813) 285-7756 View (813) 285-7756
Photo of Debbie Abreu, Marriage & Family Therapist, LMFT, MS, 6thYear, MA
Debbie Abreu
Marriage & Family Therapist, LMFT, MS, 6thYear, MA
2 Endorsed
Davis Island, Tampa, FL 33606
Debbie Abreu is a highly qualified professional with a Master’s degree in Marriage & Family Therapy, a Sixth Year Degree in School Administration, and a Master’s degree in Special Education. Debbie is clinically licensed in the States of Idaho, Florida, Texas & Colorado and is working on her advanced supervision endorsement through the American Association of Marriage and Family Therapy.
Debbie Abreu is a highly qualified professional with a Master’s degree in Marriage & Family Therapy, a Sixth Year Degree in School Administration, and a Master’s degree in Special Education. Debbie is clinically licensed in the States of Idaho, Florida, Texas & Colorado and is working on her advanced supervision endorsement through the American Association of Marriage and Family Therapy.
(813) 896-2735 View (813) 896-2735
Photo of Kathy Fountain Robertson - Kathy Fountain LMHC, BCC, Counselor, MS, LMHC, NCC
Kathy Fountain LMHC, BCC
Counselor, MS, LMHC, NCC
Davis Island, Tampa, FL 33606
I specialize in fertility issues and work with people trying to conceive, after my own personal struggle with infertility. I also specialize in depression, anxiety, and relationships. http://kathyfountainfertility.com/ I use a mind-body approach, believing in the power of relaxation techniques to relieve the stresses that interfere with our natural ability to cope. I work with individuals and couples, including gay and lesbian clients. I particularly specialize in third party reproduction, infertility and loss issues, and work with those who are using non-traditional methods to build their families.
I specialize in fertility issues and work with people trying to conceive, after my own personal struggle with infertility. I also specialize in depression, anxiety, and relationships. http://kathyfountainfertility.com/ I use a mind-body approach, believing in the power of relaxation techniques to relieve the stresses that interfere with our natural ability to cope. I work with individuals and couples, including gay and lesbian clients. I particularly specialize in third party reproduction, infertility and loss issues, and work with those who are using non-traditional methods to build their families.
(813) 438-7499 View (813) 438-7499
Photo of Rianna Marajh, Pre-Licensed Professional, MS, RMFTI
Rianna Marajh
Pre-Licensed Professional, MS, RMFTI
Davis Island, Tampa, FL 33606
I am a dedicated and compassionate Registered Marriage and Family Therapist Intern with a wealth of experience in mental health care. With a Bachelor of Science in Psychology and a Master of Science in Marriage and Family Therapy from Nova Southeastern University, my expertise spans across providing therapeutic services to children, adolescents, and adults coping with a variety of mental health diagnoses.
I am a dedicated and compassionate Registered Marriage and Family Therapist Intern with a wealth of experience in mental health care. With a Bachelor of Science in Psychology and a Master of Science in Marriage and Family Therapy from Nova Southeastern University, my expertise spans across providing therapeutic services to children, adolescents, and adults coping with a variety of mental health diagnoses.
(813) 923-2742 View (813) 923-2742
Photo of Dr. Effie Linardatos, Psychologist, PhD
Dr. Effie Linardatos
Psychologist, PhD
Davis Island, Tampa, FL 33606
Positive change is possible- I will guide you every step of the process. I specialize in the treatment of depression, anxiety, trauma, stress, and relationship problems in adults. These challenging experiences can interfere with our ability to move forward, but they can also lead to self understanding, resiliency, and growth once we start making empowered choices and limit actions that no longer serve us. I will provide a supportive environment to explore what matters to you, develop relevant short-and long-term goals, and access the skills to achieve them.
Positive change is possible- I will guide you every step of the process. I specialize in the treatment of depression, anxiety, trauma, stress, and relationship problems in adults. These challenging experiences can interfere with our ability to move forward, but they can also lead to self understanding, resiliency, and growth once we start making empowered choices and limit actions that no longer serve us. I will provide a supportive environment to explore what matters to you, develop relevant short-and long-term goals, and access the skills to achieve them.
(631) 250-2872 View (631) 250-2872
Photo of Timothy D Evans - Timothy D. Evans, Ph.D., Marriage & Family Therapist, PhD, AAMFT, LMFT
Timothy D. Evans, Ph.D.
Marriage & Family Therapist, PhD, AAMFT, LMFT
3 Endorsed
Serves Area
Ph. D., University of Georgia, APA-Counseling Psychology Internship University of Delaware, AAMFT Approved Supervisor. Individuals, couples, families. Developed the Marriage and Family Therapy Program (USF). Received Florida approved training in psychedelic assisted therapy (Costa Rica). Meaningful relationships are central to the "good life". Happiness is getting along with the important people in your life. We work to increase your ability to get along with significant others. We do this without cookie cutter diagnosis and medications. We have to learn the art, we are good enough as we are, regardless how much more we acquire.
Ph. D., University of Georgia, APA-Counseling Psychology Internship University of Delaware, AAMFT Approved Supervisor. Individuals, couples, families. Developed the Marriage and Family Therapy Program (USF). Received Florida approved training in psychedelic assisted therapy (Costa Rica). Meaningful relationships are central to the "good life". Happiness is getting along with the important people in your life. We work to increase your ability to get along with significant others. We do this without cookie cutter diagnosis and medications. We have to learn the art, we are good enough as we are, regardless how much more we acquire.
(813) 375-0171 View (813) 375-0171
Photo of Kirsten Ellingsen - Kirsten Ellingsen Phd PLLC, Psychologist, PhD, PMH-C
Kirsten Ellingsen Phd PLLC
Psychologist, PhD, PMH-C
1 Endorsed
Serves Area
I am dedicated to enhancing the health, development, and positive functioning of children, adolescents, and young adults. I am also passionate about supporting pregnant & postpartum mothers. My goal is to provide informed, strengths-based, research supported, compassionate treatment. I work with children and parents to improve wellbeing and functioning, strengthen relationships, and build skills to better manage stress, anxiety, behavior, and emotions. Participation in therapy is collaborative with a focus on strengths, reducing challenges, and increasing effective coping strategies to allow for optimal engagement in daily life.
I am dedicated to enhancing the health, development, and positive functioning of children, adolescents, and young adults. I am also passionate about supporting pregnant & postpartum mothers. My goal is to provide informed, strengths-based, research supported, compassionate treatment. I work with children and parents to improve wellbeing and functioning, strengthen relationships, and build skills to better manage stress, anxiety, behavior, and emotions. Participation in therapy is collaborative with a focus on strengths, reducing challenges, and increasing effective coping strategies to allow for optimal engagement in daily life.
(941) 304-4187 View (941) 304-4187
Photo of Mary Brizuela - Anxiety Center of Tampa, LMHC
Anxiety Center of Tampa
Verified Verified
Serves Area
Have you seen therapists who claim to treat anxiety or OCD but weren’t able to help? Do you feel like you failed at treatment, or worse yet, like you are beyond help? If so, you owe it to yourself to visit Lori, Mary and their team at Anxiety Center of Tampa. The licensed mental health counselors met while working in the Anxiety and OCD program at Rogers Behavioral Health in Tampa where they worked with complex cases and received training from top experts in the field.
Have you seen therapists who claim to treat anxiety or OCD but weren’t able to help? Do you feel like you failed at treatment, or worse yet, like you are beyond help? If so, you owe it to yourself to visit Lori, Mary and their team at Anxiety Center of Tampa. The licensed mental health counselors met while working in the Anxiety and OCD program at Rogers Behavioral Health in Tampa where they worked with complex cases and received training from top experts in the field.
(813) 705-7602 View (813) 705-7602
Photo of Lisa Otero Sullivan, Marriage & Family Therapist, MA, LMFT
Lisa Otero Sullivan
Marriage & Family Therapist, MA, LMFT
5 Endorsed
Serves Area
Are you having difficulty communicating with your spouse or partner? Do you feel unheard or alone in your relationship? Maybe it feels like you are having the same fight over and over? If so you, you are in good company. The number one issue couples report is ineffective communication. Interestingly, research suggests most issues couples face are perpetual. The good news is solving these issues is not as important as learning how to have respectful communication about them. The better news is helping couples communicate more effectively about tough issues is my specialty.
Are you having difficulty communicating with your spouse or partner? Do you feel unheard or alone in your relationship? Maybe it feels like you are having the same fight over and over? If so you, you are in good company. The number one issue couples report is ineffective communication. Interestingly, research suggests most issues couples face are perpetual. The good news is solving these issues is not as important as learning how to have respectful communication about them. The better news is helping couples communicate more effectively about tough issues is my specialty.
(813) 639-8745 View (813) 639-8745
Photo of Stephanie Suzette Germon - Stephanie Germon, Counselor, MS, LMHC
Stephanie Germon
Counselor, MS, LMHC
1 Endorsed
Serves Area
Unprocessed traumatic events result in overwhelming emotions causing distress and impairment to both your personal and professional life. I assist individuals in reprocessing negative core beliefs i.e., (“I'm damaged; I cannot succeed”) proven to decrease anger, anxiety & depression. I assist couples in identifying the problematic root cause of emotional distance by utilizing proven strategies that increase emotional intimacy, decrease criticism, contempt, and defensiveness. In a safe, nonjudgmental environment, I equip both individuals and couples with the proper skillset needed to get unstuck and enjoy thriving life.
Unprocessed traumatic events result in overwhelming emotions causing distress and impairment to both your personal and professional life. I assist individuals in reprocessing negative core beliefs i.e., (“I'm damaged; I cannot succeed”) proven to decrease anger, anxiety & depression. I assist couples in identifying the problematic root cause of emotional distance by utilizing proven strategies that increase emotional intimacy, decrease criticism, contempt, and defensiveness. In a safe, nonjudgmental environment, I equip both individuals and couples with the proper skillset needed to get unstuck and enjoy thriving life.
(813) 285-7073 View (813) 285-7073
Photo of April L. Green - Focus of Tampa Bay, PMHNP, FNP
Focus of Tampa Bay
Verified Verified
Serves Area
ADHD can create challenges that impact every area of life—managing time, maintaining focus, building routines, and navigating relationships. Whether you’re a parent seeking guidance for your child, an adult struggling with overwhelm, or a family looking for clarity, we understand the frustration and uncertainty that comes with these challenges. Our goal is to listen, support, and provide the tools you need to find balance and confidence.
ADHD can create challenges that impact every area of life—managing time, maintaining focus, building routines, and navigating relationships. Whether you’re a parent seeking guidance for your child, an adult struggling with overwhelm, or a family looking for clarity, we understand the frustration and uncertainty that comes with these challenges. Our goal is to listen, support, and provide the tools you need to find balance and confidence.
(813) 513-1349 View (813) 513-1349
Photo of Rebecca Corbicz, Clinical Social Work/Therapist, LCSW, CCTP, PMH-C, QS
Rebecca Corbicz
Clinical Social Work/Therapist, LCSW, CCTP, PMH-C, QS
1 Endorsed
Online Only
I’m a Licensed Clinical Social Worker with over 12 years of experience in both private practice and medical social work. I specialize in providing Qualified Supervision for Social Work Interns and am passionate about supporting new clinicians as they grow into confident, competent professionals. .
I’m a Licensed Clinical Social Worker with over 12 years of experience in both private practice and medical social work. I specialize in providing Qualified Supervision for Social Work Interns and am passionate about supporting new clinicians as they grow into confident, competent professionals. .
(813) 993-0789 View (813) 993-0789
Photo of Abigail Braudis, Clinical Social Work/Therapist, LCSW
Abigail Braudis
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
Hello! I'm Abigail, a Licensed Clinical Social Worker (LCSW), based in Florida (virtual). I received my Masters from Indiana University and have been practicing for over 10 years.
Hello! I'm Abigail, a Licensed Clinical Social Worker (LCSW), based in Florida (virtual). I received my Masters from Indiana University and have been practicing for over 10 years.
(954) 519-4662 View (954) 519-4662
Photo of Taylor Andersen - Taylor Andersen - Here and Now Counseling, Clinical Social Work/Therapist, LCSW, MCAP
Taylor Andersen - Here and Now Counseling
Clinical Social Work/Therapist, LCSW, MCAP
Online Only
Are you struggling with anxiety, grief, relationships, stress, self-esteem, substance use, or all of the above? Maybe you simply recognize the value in having a non-judgmental person to open up to and help make sense of life's experiences and struggles. I provide a safe space for you to process your inner and outer world, and work towards your personal goals. I believe that our mental health cannot be understood separate from the body, our environment, and our individual and collective histories. Everything is connected, and I work with adults of all ages and identities, helping you connect the dots and heal.
Are you struggling with anxiety, grief, relationships, stress, self-esteem, substance use, or all of the above? Maybe you simply recognize the value in having a non-judgmental person to open up to and help make sense of life's experiences and struggles. I provide a safe space for you to process your inner and outer world, and work towards your personal goals. I believe that our mental health cannot be understood separate from the body, our environment, and our individual and collective histories. Everything is connected, and I work with adults of all ages and identities, helping you connect the dots and heal.
(727) 513-6149 View (727) 513-6149
Photo of Noel Tola - Safe Space Counseling, Counselor, LMHC
Safe Space Counseling
Counselor, LMHC
3 Endorsed
Online Only
Research shows that people would rather experience physical pain than emotional pain. These tough times can make us feel hopeless, vulnerable, and powerless. As we know, we cannot avoid life’s hurts that leave us with pain, guilt, anger, and shame; however, we can learn from these emotions. Emotions influence our thinking processes, impacting how we see the world. Therapy can help clear these barriers of uncertainty, which can prevent us from achieving our personal goals, getting that promotion, or achieving a healthy relationship.
Research shows that people would rather experience physical pain than emotional pain. These tough times can make us feel hopeless, vulnerable, and powerless. As we know, we cannot avoid life’s hurts that leave us with pain, guilt, anger, and shame; however, we can learn from these emotions. Emotions influence our thinking processes, impacting how we see the world. Therapy can help clear these barriers of uncertainty, which can prevent us from achieving our personal goals, getting that promotion, or achieving a healthy relationship.
(561) 823-4920 View (561) 823-4920
Photo of Kailey Hankosky, Clinical Social Work/Therapist, LCSW
Kailey Hankosky
Clinical Social Work/Therapist, LCSW
Online Only
I was inspired to become a therapist because I wanted to be the kind of safe, supportive presence for others that I needed during my own adolescence. What I love most about this work is witnessing the incredible growth my clients make, but also being there through the tough times when they stumble and watching them find the strength to get back up. At the heart of everything I do is a deep commitment to building trust, honoring each person’s unique journey, and empowering them to create meaningful, lasting change in their lives.
I was inspired to become a therapist because I wanted to be the kind of safe, supportive presence for others that I needed during my own adolescence. What I love most about this work is witnessing the incredible growth my clients make, but also being there through the tough times when they stumble and watching them find the strength to get back up. At the heart of everything I do is a deep commitment to building trust, honoring each person’s unique journey, and empowering them to create meaningful, lasting change in their lives.
(239) 341-6544 View (239) 341-6544
Photo of Lois A Miller - Lois A. Miller, LCSW, PA, Clinical Social Work/Therapist, LCSW
Lois A. Miller, LCSW, PA
Clinical Social Work/Therapist, LCSW
Online Only
My work is Heart Centered. Therapy is one of the most personal experiences you can have. I don't take lightly your vulnerabilities as you look into yourself, your hopes or the trust you place in me. My goal is to create an environment of safety, acceptance & respect, honoring individuality while helping you through your personal journey to celebrations of your heart. I work with adults/couples dealing with: anxiety, addiction recovery, ACOA, co-dependency, childhood abuse recovery, communication, depression, divorce, EAP, grief/loss, life transitions, personal growth, relationship issues, PTSD/ trauma, stress, women's issues.
My work is Heart Centered. Therapy is one of the most personal experiences you can have. I don't take lightly your vulnerabilities as you look into yourself, your hopes or the trust you place in me. My goal is to create an environment of safety, acceptance & respect, honoring individuality while helping you through your personal journey to celebrations of your heart. I work with adults/couples dealing with: anxiety, addiction recovery, ACOA, co-dependency, childhood abuse recovery, communication, depression, divorce, EAP, grief/loss, life transitions, personal growth, relationship issues, PTSD/ trauma, stress, women's issues.
(813) 438-4342 View (813) 438-4342
Photo of Alexandra Cabrera Cabrera
Alexandra Cabrera Cabrera
Verified Verified
Online Only
I am a dedicated and empathetic Hispanic therapist passionate about helping individuals navigate life's challenges and find their inner strength. I have been in the mental health field for close to 5 years, with vast experience and training in addiction, depression, anxiety, grief, and bipolar disorder. I continue to expand my academic journey by completing a doctorate in Clinical Psychology. I'm here to support you on your journey towards mental well-being.
I am a dedicated and empathetic Hispanic therapist passionate about helping individuals navigate life's challenges and find their inner strength. I have been in the mental health field for close to 5 years, with vast experience and training in addiction, depression, anxiety, grief, and bipolar disorder. I continue to expand my academic journey by completing a doctorate in Clinical Psychology. I'm here to support you on your journey towards mental well-being.
(786) 743-4908 View (786) 743-4908
Photo of Marina Rozenberg, MD
Marina Rozenberg
Verified Verified
2 Endorsed
Online Only
I work with people who struggle with anxiety, depression, and relationship issues. Others seek help because they suffer with a sense of disconnection or find themselves repeating unhealthy patterns despite their best effort to change. What we fail to realize is that these symptoms and patterns are often trying to tell us about something essential within ourselves that we had to push aside in our effort to get along and succeed, or they can reflect traumatic experiences from our past that had been too overwhelming to assimilate. Often the original meanings are buried deep within our unconscious with only these symptoms as a trace.
I work with people who struggle with anxiety, depression, and relationship issues. Others seek help because they suffer with a sense of disconnection or find themselves repeating unhealthy patterns despite their best effort to change. What we fail to realize is that these symptoms and patterns are often trying to tell us about something essential within ourselves that we had to push aside in our effort to get along and succeed, or they can reflect traumatic experiences from our past that had been too overwhelming to assimilate. Often the original meanings are buried deep within our unconscious with only these symptoms as a trace.
(718) 550-1121 View (718) 550-1121

How does your Therapist compare?

Number of Therapists in Davis Island, Tampa, FL

30+

Average cost per session

$140

Therapists in Davis Island, Tampa, FL who prioritize treating:

90% Depression
90% Anxiety
77% Self Esteem
70% Relationship Issues
70% Stress
63% Trauma and PTSD
60% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

76% Cigna and Evernorth
71% Aetna
65% UnitedHealthcare UHC | UBH

How Therapists in Davis Island, Tampa, FL see their clients

57% Online Only
43% In Person and Online

Gender breakdown

89% Female
11% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Davis Island, Tampa?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.